遗漏了什么？关于静脉血栓栓塞事件及其与减肥手术关联的范围综述。完善证据基础。
Missing something? A scoping review of venous thromboembolic events and their associations with bariatric surgery. Refining the evidence base.
作者信息
El Ansari Walid, El-Ansari Kareem
机构信息
Department of Surgery, Hamad General Hospital, 3050, Doha, Qatar.
College of Medicine, Qatar University, Doha, Qatar.
出版信息
Ann Med Surg (Lond). 2020 Aug 17;59:264-273. doi: 10.1016/j.amsu.2020.08.014. eCollection 2020 Nov.
Abstract
BACKGROUND
Venous thromboembolic events (VTE) post-bariatric surgery (BS) lead to morbidity and mortality.
METHODS
This scoping review assessed whether reported VTE post-BS could be under/over-estimated; suggested a possible number of VTE post-BS; appraised whether VTE are likely to decrease/increase; examined BS as risk/protective factor for VTE; and mapped the gaps, proposing potential solutions.
RESULTS
VTE appears under-estimated due to: identification/coding of BS and VTE; reporting of exposure (BS); and reporting of outcomes (VTE). The review proposes a hypothetical calculation of VTE post-BS. VTE are unlikely to decrease soon. BS represents risk and protection for VTE. Better appreciation of VTE-BS relationships requires longer-term strategies.
CONCLUSION
VTE are underestimated. Actions are required for understanding the VTE-BS relationships to in order to crease VTE by better-informed prevention strategy/ies.
摘要
背景
减重手术后发生静脉血栓栓塞事件（VTE）会导致发病和死亡。
方法
本范围综述评估了减重手术后报告的VTE是否可能被低估/高估；提出了减重手术后VTE可能的发生数量；评估了VTE是否可能减少/增加；研究了减重手术作为VTE的风险/保护因素；并梳理了差距，提出了潜在的解决方案。
结果
由于以下原因，VTE似乎被低估了：减重手术和VTE的识别/编码；暴露（减重手术）的报告；以及结局（VTE）的报告。该综述提出了减重手术后VTE的假设计算。VTE近期不太可能减少。减重手术对VTE既代表风险也有保护作用。更好地理解VTE与减重手术的关系需要长期策略。
结论
VTE被低估了。需要采取行动来理解VTE与减重手术的关系，以便通过更明智的预防策略降低VTE。
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